Juvenile Justice Services in Florida - ABA is an Essential Element

Contents of this page:

• What is ABA or Applied Behavior Analysis?

• What is FABA - the Florida Association for Behavior Analysis?

• What are Board Certified Behavior Analysts, Board Certified Assistant Behavior Analysts, and Registered Behavior Technicians?

• Youth state strong preferences for ABA supports

• Leaders and professionals in Florida programs and facilities appreciate the value of ABA

• ABA is an Evidence-based Treatment

• Joint Efforts to Meet the Behavioral Service Needs of Youth and Staff

• Questions, comments, or concerns?
  

What is ABA or Applied Behavior Analysis?

• ABA is the application of the science of behavior to improve the human condition. ABA has a long history that began in the early 20th century.
• ABA is based on the premise that attempts to improve the human condition through behavior change (e.g., education, behavioral health treatment) will be most effective if behavior itself is the primary focus.
• Behavior-analytic scientists have conducted thousands of studies to identify the laws of behavior—the predictable ways in which behavior is learned and how it changes over time. We have learned that behavior is a product of its circumstances, particularly the events that immediately follow the behavior.
• Behavior analysts have used this information to develop numerous techniques and treatment approaches for analyzing and changing behavior, and ultimately, to improve lives.
• Since ABA is largely based on behavior and its consequences, techniques generally involve teaching individuals more effective ways of behaving and changing the social consequences of existing behavior.
• Treatment approaches based on ABA have been empirically shown to be effective in a wide variety of areas, including juvenile justice programs. (See ABA is an Evidence-based Treatment below.) 

Adapted from source: https://www.bacb.com/about-behavior-analysis/

What is FABA (Florida Association for Behavior Analysis)?

• FABA was founded in 1980 to promote the ethical, humane, and effective application of behavior principles in all segments of society, including education, business, rehabilitation facilities, and government, and to facilitate access to appropriate, high quality, and beneficial behavior analysis services for residents of the state of Florida who are in need of such care.
• FABA has over 5,000 members. More than 4,000 are professionals trained and certified to provide ABA services in the state of Florida.
• FABA is the largest statewide organization in the nation committed to the promotion and support of quality behavior analysis services.
• FABA's principal address is 3116 Capital Circle NE, Suite 2, Tallahassee, Florida, 32308.

What are Board Certified Behavior Analysts, Board Certified Assistant Behavior Analysts, and Registered Behavior Technicians?

Board Certified Behavior Analysts® (BCBA) are the highest level certified professionals who provide ABA service, To become certified, the professional must:

• hold a Master’s or Doctoral degree
• Complete coursework specific to the science and ethical practice of behavior analysis
• Complete supervised experience, and
• Pass a psychometrically valid examination

To maintain certification, compliance to a code of ethics and continuing education is required.

BCBAs oversee Board Certified Assistant Behavior Analysts® (BCaBA) and Registered Behavior Technicians® (RBT). These credentials also require rigorous training and supervision.  

RBTs are para-professionals with skill sets that are an excellent fit for direct support staff in DJJ programs. RBTs must be frequently supervised by a BCBA or BCaBA.

The Behavior Analyst Certification Board (BACB®, www.BACB.com) operates the BCBA, BCaBA and RBT credentialing program which is accredited by the National Commission for Certifying Agencies (NCCA).

How have Behavior Analysts supported DJJ programs and facilities in Florida and across the US?

• Behavior analysts have worked for many years as employees and consultants in juvenile and criminal justice programs and facilities across the US
• Many research journals and other professional publications include positive demonstrations of the impact of ABA on juvenile and criminal justice services (See ABA is an Evidence-based Treatment below.) .
• Behavior Analysts and RBTS work well together with mental health professionals and problem-solving teams. Click here to learn more.
• Behavior analysts develop evidence-based interventions that can be implemented 24/7 with high integrity by direct support staff, including:
• Positive reinforcement approaches (that stop or minimize the use of coercive methods)
• Skill training, including:

• Replacement and alternative behaviors that prevent or minimize youth self-harm, aggression, property destruction, and more
• Prosocial and vocational skills that support successful re-integration in schools and community settings
• Functional skills of daily life
• Highly effective educational strategies that increase classroom success, including fluency-based instruction, differentiated instruction, and classroom management techniques
• Facility-wide behavior management systems (BMS, PPS), including level systems, token economy, and behavior contracts
• Positive Behavior Interventions and Supports (PBIS) and Multi-Tiered Systems of Support (MTSS)
• Safe and appropriate crisis management systems that focus on effective de-escalation methods, including how to prompt and reinforce youth use of replacement behaviors
• Staff training, coaching, and performance management systems
  • includes BCBA supervision of RBTs, reducing the need for oversight by other professionals

  Click here to learn more about Educational Interventions and Academic Gains
  

  Click here to learn more about Common Features of Intervention Plans Prepared by Behavior Analysts

• Click here to learn more about Staff Training and Coaching

• Behavior analysts produce:

• objective goal statements
• reliable and continuous measurement of progress
• fast intervention changes to maximize behavioral improvement
• achievement of evidence-based outcomes necessary for program evaluation:
  • number of youth meeting treatment plan goals
  • success with exiting programs, maintaining placements in the community
  • reductions in recidivism, Baker Acts and costs with long-term, intensive services
  • reductions in staff injuries, Workers Compensation claims, turnover
  Click here for more information on Cost Analysis - Case Studies

Youth want ABA supports

Leaders and professionals in Florida programs and facilities appreciate the value of ABA

               Dr. Kristopher Kaliebe, MD, Associate Professor, Psychiatry, USF Health

          Joseph Nixon, Vice President of Florida Operations

ABA is an Evidence-based Treatment

• Kieffer, E., Fuesy, S., Morosohk, E., Harris, N. (2022), The Many Applications of Applied Behavior Analysis in Juvenile Justice Settings. FABA Conference, https://behaviorlive.com/faba/instructors/nicole-harris123
• Morris, E. K. (1980). Applied behavior analysis for criminal justice practice: Some current dimensions. Criminal Justice and Behavior, 7, 131-145.
• Morris, E. K., & Braukmann, C. J. (Eds.). (1987). Behavioral approaches to crime and delinquency: A handbook of application, research, and concepts. New York: Plenum. 
• Crime, Delinquency, and Forensic Behavior Analysis - an ABA International Special Interest Group. https://iba.abainternational.org/2022/02/23/crime-delinquency-and-forensic-behavior-analysis/
• Sprague, J., Scheuermann, B., Wang, E., Nelson, C., Jolivette, K. & Vincent, C. (2013). Adopting and Adapting Positive Behavior Interventions and Supports (PBIS) for Secure Juvenile Justice Settings: Lessons Learned. Education and Treatment of Children. 36. 121-134. 10.1353/etc.2013.0031. https://www.researchgate.net/publication/258031511_Adopting_and_Adapting_PBIS_for_Secure_Juvenile_Justice_Settings_Lessons_Learned
• Nelson, C.M., Jolivette, K., Leone, P. E., & Mathur, S. R. (2010). Meeting the needs of at-risk and adjudicated youth with behavioral challenges: The promise of juvenile justice. . Behavioral Disorders, 36, 70-80.
• Nelson, C. M., Sprague, J. R., Jolivette, K., Smith, C. R., & Tobin, T. J. (2009). Positive behavior support in alternative education, community-based mental health, and juvenile justice settings. In W. Sailor, G. Dunlap, R. H. Horner & G. Sugai (Eds.), Handbook of positive behavior support (pp. 465-496). New York: Springer.
• Nelson, C.M., Scott, T.M., Gagnon, J.C., Jolivette, K., & Sprague, J.R. (2008). Positive Behavior Support in the Juvenile Justice System. Positive Behavior Interventions and Supports Newletter, 4(3).
• Walker, H., Ramsey, E., & Gresham, F. (2004). Antisocial behavior in school: Evidenced-based practices. Florence, KY: : Cengage.
• Lipsey, M.W., Wilson, D.B., & Cothern, L. (2000, April). Effective intervention for serious juvenile offenders. Paper presented at the Juvenile Justice Bulletin, Washington, D.C.
• Fixsen, D. L, Blasé , K. A., Timbers, G.D. & Wolf, M. M. (2007). In search of program implementation: Replications of the teaching-family model. The Behavior Analyst Today, 8(1), 96-105. www.baojournal.com
• French, S. A., & Gendreau, P. (2006). Reducing prison misconducts: What works! Criminal Justice and Behavior, 33, 185-218.
• Kingsley, D., Ringle, J. L., Thompson, R. W., Chmelka, B., Ingram, S.(2008). Cox proportional hazards regression analysis as a modeling technique for informing program improvement: Predicting recidivism in a boys town five-year follow-up study. The Journal of Behavior Analysis of Offender and Victim Treatment and Prevention, 1(1), 82-97. www.baojournal.com
• O’Donohue, W. & Ferguson, K. E. (2006): Evidence-based practice in psychology and behavior analysis. The Behavior Analyst Today, 7(3), 335–35. www.baojournal.com
• Redondo-Illescas, S., Sanchez-Meca, J., & Garrido-Genovaes, V. (2001). Treatment of offenders and recidivism: Assessment of the effectiveness of programs applied in Europe. Psychology in Spain, 5, 47-62.
• Phillips, E. L. (1968). Achievement Place: token reinforcement procedures in a home-style rehabilitation setting for “pre-delinquent” boys. Journal of Applied Behavior Analysis, 1(3), 213–223. ​
• Hobbs, T. R., & Holt, M. (1976). The effects of token reinforcement on the behavior of delinquents in cottage settings. Journal of Applied Behavior Analysis, 9(2), 189–198.
• ​Milan, M.E., McKee, J.M., (1976). The cellblock token economy: token reinforcement procedures in a maximum security correctional institution for adult male felons . Journal of Applied Behavior Analysis, 9(3), 253-275.
• ​Wolf, M.M., Braukman, C.J., & Ramp, K.A. (1987). Serious delinquent behavior as part of a significantly handicapping condition: cures and supportive environments​
• Biglan, A. (1995). Translating what we know about the context of antisocial behavior into a lower prevalence of such behavior. Journal of Applied Behavior Analysis, 28, 479-492. ​
• Mayer, R. (1995). Preventing antisocial behavior in the schools. Journal of Applied Behavior Analysis, 28, 467-478.
• Marlowe, D.B., Festinger, D.S., Dugosh, K.L., Arabia, P.L., & Kirby, K. C. (2008). An effectiveness trial of contingency management in a felony pre-adjudication Drug Court. Journal of Applied Behavior Analysis, 41, 565-577. ​
• Cullen, F.T & Gendreau, P. (2000). Meta-Analysis: Assessing Correctional Rehabilitation: Policy, Practice and Prospects. ​Criminal Justice.
  “The treatment services should be behavioral in nature. In general, behavioral interventions are effective in changing an array of human behavior. With regard to crime, they are well-suited to altering the “criminogenic needs”— antisocial attitudes, cognitions, personality orientations, and associations that underlie recidivism.”​
  

Joint Efforts to Meet the Behavioral Service Needs of Youth and Staff

FABA wants to work with DJJ leaders, FJJA, facility administrators, and ABA service providers to achieve some important goals:

• data-based triage process completed by a team including administrators, staff supervisors, medical professionals, psychiatrists, mental health professionals, and behavior analyst.
• require a written referral or prescription from an independent physician or psychiatrists and primary care physicians who provide care (this referral may also support eligibility for Medicaid-funded behavior analysis services)

Clarify that ABA services should not be withheld and used as a “last resort.” Early identification and intervention is more likely to improve progress for youth. Delayed access to ABA services is harmful and can result in increases in problem behavior intensity, frequency and duration. This may cause injuries to the youth and staff, property destruction, or other safety risks.

Clarify facility contract negotiation processes that relate to authorizing, continuing, or adjusting funding for ABA services
Review recent contract negotiations to identify any needs to restore ABA service funding to prior levels, or to increase related funding to meet needs of youthIdentify and address any biases, myths and misrepresentations that may be hindering access to ABA services

Fully utilize Medicaid resources to support youth access to behavior analysis service while placed in DJJ programs and as wrap-around supports when returning to the community

Develop or enhance program evaluation methods (e.g., youth progress, recidivism rates) and technologies (e.g., data sharing, dashboards)

Clarify methods for oversight and supervision of Behavior Analysts and RBTs. This may involve the development of clear performance standards by administrators.  Behavior Analysts understand the value of performance feedback and are responsive when objective feedback is provided by administrators, supervisors, and colleagues. It will be helpful to clarify the role of mental health professionals who may have less training or supervised experience. 

Click here for established standards for supervision of Behavior Analysts and RBTs.

Another process for assuring proper oversight of ABA services is the Peer Review Committee. Behavior intervention plans and data can be periodically reviewed and monitored by a committee made up of BCBAs with a high level of competency (e.g., adolescent treatment, severe behaviors, juvenile delinquency, trauma-informed care). The committee also should include psychiatrists and/or physicians, especially when reviewing the most complex and challenging youth cases. The Peer Review Committee can ensure that quality ABA services are being delivered for the youth. Those BCBAs receiving oversight will be able to learn from the highly qualified professionals on the Peer Review Committee. The Agency for Persons with Disabilities (APD) has developed the Local Review Committee (LRC) process that can provide some guidance in the development of Juvenile Justice Peer Review Committees:  https://www.apd.myflorida.com/providers/behavioral/docs/7.0-lrc-model-bylaws-101810.pdf

Attract Behavior Analysts and RBTs to work in juvenile justice facilities and programs.

Possible strategies include:

• increasing juvenile justice educational presentations for FABA members at annual conferences and local chapter meetings.
• involving DJJ leaders, FJJA representatives, and facility administrators as presenters at these events.
• sharing information about available positions and opportunities with FABA members

Questions, comments, or concerns?

Please email the Public Policy Committee at [email protected]

We'd be pleased to have a telephone discussion or a virtual or face-to-face meeting. We can also provide training on-site or via virtual presentations (live or recorded) on a variety of topics including reviews of highly effective approaches and program designs; reviews of case examples demonstrating effective collaboration with Psychiatrists, Psychologists and Mental Health Clinicians; and Q and A sessions.

Commitment to Diversity, Equity, Inclusion, and Acceptance

Modeled after APBA’s Commitment to Diversity Equity and Social Justice (2020)

Approved by the Board of Directors on July 20, 2023

In light of recent events and discussions in our field and the larger society, the Florida Association for Behavior Analysts (FABA) reiterates its commitment to creating a culture that promotes behaviors that are consistent with the highest standards of our profession and the Behavior Analyst Certification Board’s (2020) Ethics Code for Behavior Analysts. We condemn all acts of discrimination, violence, hate, and oppression based on race, ethnicity, place of origin, language, gender identity, sex, sexual orientation, religion, political persuasion, culture, age, disability, or socioeconomic status.

As practitioners of behavior analysis, we are committed to creating environments that arrange positive reinforcement contingencies to enable all individuals to have safe, fulfilling, and productive lives. As an organization, we are committed to helping our field improve its efforts to include and support individuals with diverse backgrounds and interests, and to continue working together to bring about the systemic changes that are necessary to ensure safety and wellbeing for all. In keeping with our mission of advocating for public policies and supporting and protecting practitioners and consumers, FABA will work to operationalize those commitments by:

• Encouraging our members to acknowledge systemic bigotry in all forms and educate themselves about how it affects their own behavior, the behavior of others, and societal systems and practices;
• Advocating for public policies to enhance educational and professional opportunities in behavior analysis for members of diverse communities;
• Continuing to advocate for public policies that ensure equitable access to ABA services by consumers from diverse communities;
• Encouraging respectful, considerate discussion and debate grounded in an appreciation for diversity as well as healthy skepticism, facts, and scientific and ethical principles;
• Advocating for public policies to protect and support the practice of ABA with behavior analysts in the state of Florida;
• Increasing opportunities for education, professional development, and discussion on relevant topics at our annual conference, in webinars, and in other forums;
• Encouraging behavior analysts with diverse racial, gender, sexual, ethnic, and cultural backgrounds to run for open seats on the FABA Board of Directors and to serve on committees and workgroups;
• Continuing to advocate for safe and inclusive work environments for all behavior analysts, and;
• Continuing to foster the work of our Diversity, Equity, Inclusion and Acceptance (DEIA) Committee.